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Mitral regurgitation

…valve leaflets (Figure 1). Rheumatic heart disease is the leading cause of mitral regurgitation in low and middle income countries. Rheumatic heart disease typically results…

Otoscopy and ear syringing

…ear discharge or pain on contact with water. A history of ear surgery in which the middle ear may be open (a mastoid cavity, mastoidectomy)…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…A IMH: involves the ascending aorta. Type B IMH: involves the descending aorta distal to the left subclavian artery. Penetrating atherosclerotic ulcer PAU is focal…

Coronary Artery Calcium Scoring: Prognostic Use in Practice

Cardiology Myocardial ischemia and infarction Definition and Pathophysiology Coronary artery calcium (CAC) scoring is a non invasive method for detecting and quantifying calcified coronary atherosclerotic…

Spontaneous Coronary Artery Dissection

Cardiology Myocardial ischemia and infarction Definition and pathophysiology Spontaneous coronary artery dissection (SCAD) is an acute coronary disorder caused by separation within the coronary arterial…

Aortic stenosis

…of aortic stenosis is 75 years in high income countries. In low and middle income countries, rheumatic heart disease is the leading cause of aortic…

Mitral valve stenosis

…valve. The anterior leaflet is anatomically divided into three segments referred to as A1 (anterior segment), A2 (middle segment), and A3 (posterior segment) (Figure 1)…

Strain, strain rate and speckle tracking: Myocardial deformation

…is pulled towards the apex. Myocardial fibers in the middle layer (mid wall) are oriented circularly around the short axis. Contraction in this layer results…

Anaphylaxis: quick reference for emergency management

…remove the allergen. 2. Give adrenaline 1 mg/ml intramuscularly into the middle third of the anterolateral thigh. Dose 0.01 mg/kg, corresponding to…

Injection technique — intramuscular, subcutaneous and intradermal

…cm) below the lower border of the acromion , in the middle of the muscle belly, within the inverted triangle formed between the acromion and the…

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